Merchant Declaration Form
Merchant Declaration Form
Merchant Declaration Form
1 – 08/2022
Merchant Declaration
To,
PhonePe Private Limited (“PhonePe”)
Unit No.001, Ground Floor, Boston
House, Suren Road, Off. Andheri-Kurla
Road,
Andheri (East), Mumbai-400093
Maharashtra, India.
SUBBARAYUDU YEDDULA
Name:
1. The Merchant is registered under the Income Tax Act, 1961 (as may be amended from time Tick (if
applicable)
to time) and has obtained TAN Number against the registration. OR
The Merchant does not hold a TAN as it’s not liable to deduct tax at source or collect tax at source Tick (if
applicable)
as per the provisions of the Income Tax Act, 1961.
2. The Merchant is registered and GSTIN certificate/acknowledgement having provisional number Tick (if
applicable)
has been issued by GST authorities. OR
The Merchant does not have any registration with GST authorities. Tick (if
applicable)
I, (SUBBARAYUDU YEDDULA )with PAN number AWTPY1316J, hereby declare that the above facts and information
are true, complete and correct to the best of my knowledge. I understand and agree that in case it is found that the above-
mentioned facts and information are incorrect, I will be personally held liable for the same.
Yours faithfully,
For and on behalf of the Merchant
Date: 12-01-2024
Place: Hyderabad
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